Provider Demographics
NPI:1912796053
Name:BRUNMEIER, BROOKE RACHELLE
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:RACHELLE
Last Name:BRUNMEIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3010
Mailing Address - Country:US
Mailing Address - Phone:432-416-2745
Mailing Address - Fax:
Practice Address - Street 1:101 E 19TH ST APT 1
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2478
Practice Address - Country:US
Practice Address - Phone:402-440-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health